Prevalence and associated risk factors of post-traumatic stress disorder among survivors of the 2023 Turkey earthquake

Abstract

BackgroundEarthquakes can cause psychological trauma among survivors as well as physical trauma. This study aims to determine the prevalence of post-traumatic stress disorder (PTSD) and identify associated risk factors among earthquake survivors after the 2023 Turkey earthquake. MethodsThis prospective cross-sectional study was conducted in the emergency department of a tertiary university hospital between May 6, 2023, and May 16, 2023. An online questionnaire was sent to the participants. The questionnaire form consisted of three parts. In the first part, the sociodemographic characteristics of the participants were included. In the second part, the participants were asked about their experiences with the earthquake. In the third part, the post-traumatic stress disorder checklist for the Diagnostic and Statistical Manual of Mental Disorders, which screens PTSD among the participants, was included. Participants who did not complete all the questions and had severe communication disorders were excluded. ResultsThe prevalence of probable PTSD among the participants was 51.4% (n = 197). Age (OR: 0.96 95% CI: 0.93–99), female gender (OR: 4.54 95% CI: 2.39–8.61), being the head of the family (OR: 2.00 95% CI: 1.04–3.82), bereavement (OR: 1.71 95% CI: 1.03–2.82), lost loved ones (OR: 3.15 95% CI: 1.67–5.92), low social support (OR: 1.80 95% CI: 1.12–2.90) and receiving emergency care at the field (OR: 6.67 95% CI: 1.03–43.2) were the associated risk factors of PTSD among earthquake survivors. ConclusionsThe prevalence of PTSD among survivors three months after the 2023 Turkey earthquake is over half of the survivors. Younger age, female gender, being the head of the family, bereavement, lost loved ones, low social support, and receiving emergency care in the field were the associated risk factors of PTSD among earthquake survivors. Considering survivors may visit EDs until other outpatient clinics are re-established and the high rate of PTSD, rapid psychological evaluations can be performed in emergency departments. Emergency physicians should be aware of possible risk factors and high rate of PTSD.